EM Cases · Paediatric sepsis and septic shock
Paediatric septic shock — the first-hour resus station
ACEM Fellowship OSCE resus station testing paediatric septic shock recognition, IO access, weight-based antibiotics/fluids, adrenaline for cold shock, and PICU escalation.
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Study tools
Target exams
ACEMFRCEMABEMFRCPCCCFPEMEBEEM
Prompt
A toddler with fever who is mottled and hypotensive; peripheral access fails and fluid-refractory cold shock develops.
Station brief
Format. Clinical-management (resus) station, 11 minutes — 4 minutes reading, 7 minutes active. You are the EM consultant leading paediatric resuscitation.[1]
Candidate instructions. Manage from trolley handover. State actions and doses aloud. Examiner plays nursing team.[1]
References2ShowHide
- [1]Weiss SL, Peters MJ, Alhazzani W, et al. Surviving Sepsis Campaign International Guidelines for the Management of Septic Shock and Sepsis-Associated Organ Dysfunction in Children. Intensive Care Medicine, 2020.PMID 32030529
- [4]Maitland K, Kiguli S, Opoka RO, et al. Mortality after fluid bolus in African children with severe infection. New England Journal of Medicine, 2011.PMID 21615299